Observational Study
Copyright ©The Author(s) 2015.
World J Clin Oncol. Oct 10, 2015; 6(5): 147-155
Published online Oct 10, 2015. doi: 10.5306/wjco.v6.i5.147
Table 1 Lay opinions about causes of breast cancer in Western Kenya
No. of coded statements (%)
Perceived causeKapsokwonyMosoriotTurboTotal Opinions
597 (38%)297 (19%)672 (43%)1566 (100%)
Hereditary91 (15.2)33 (11.1)69 (10.3)193 (12.3)
Food consumed60 (10.1)38 (12.8)89 (13.2)187 (11.9)
Witchcraft and curses63 (10.6)7 (2.4)38 (5.7)108 (6.9)
Family planning methods23 (3.9)8 (2.7)25 (3.7)56 (3.6)
Alcohol and tobacco consumption18 (3.0)2 (0.7)26 (3.9)46 (2.9)
Breastfeeding12 (2.0)8 (2.7)8 (1.2)28 (1.8)
Not breastfeeding9 (1.5)6 (2.0)9 (13)24 (1.5)
Exposure to toxic substances11 (1.8)4 (1.3)7 (1.0)22 (1.4)
HIV and other sexual diseases6 (1.0)03 (0.4)9 (0.6)
Environmental changes2 (0.3)2 (0.7)4 (0.6)8 (0.5)
Radiation and vibrations7 (1.2)01 (0.1)8 (0.5)
Type of clothing2 (0.3)04 (0.6)6 (0.4)
Low sexual encounters1 (0.2)01 (0.1)2 (0.1)
Early sexual encounter2 (0.3)002 (0.1)
High number of sexual encounters1 (0.2)01 (0.1)2 (0.1)
Others125 (4.2)5 (1.7)13 (1.9)43 (2.7)
No opinions expressed2264 (44.2)184 (61.9)374 (55.7)822 (52.5)
Table 2 Lay perceptions of severity and symptoms/signs of breast cancer in Western Kenya
No. coded statements (%)
PerceptionKapsokwony 489 (36%)Mosoriot 280 (21%)Turbo 580 (43%)Total Perceptions 1349 (100%)
Severity
Killer disease105 (21.5)45 (16.1)116 (20.0)266 (19.7)
Breasts are removed10 (2.0)3 (1.1)12 (2.1)25 (1.9)
Curable if detected early10 (2.0)6 (2.1)2 (0.3)18 (1.3)
A disease like any other5 (1.0)6 (2.1)3 (0.5)14 (1.0)
It does not exist3 (0.6)1 (0.4)04 (0.3)
Spreads to rest of the body2 (0.4)1 (0.4)03 (0.2)
Cancer eats away the breast01 (0.4)01 (0.1)
Don’t know354 (72.4)217 (77.5)447 (77.1)1018 (75.5)
Symptoms/signs
1166 (40%)552 (19%)1192 (41%)2910 (100%)
Changes in breast size207 (17.8)109 (19.7)266 (22.3)582 (20.0)
Pain, tingle or tenderness of the breast195 (16.7)88 (15.9)243 (20.4)526 (18.1)
Lump in breast165 (14.2)72 (13.0)129 (10.9)366 (12.6)
Discharge from the breast163 (13.9)58 (10.5)131 (11.0)352 (12.1)
Wound on the breast92 (7.9)39 (7.1)90 (7.6)221 (7.6)
Itching80 (6.9)17 (3.1)68 (5.7)165 (5.7)
Change in breast skin color44 (3.8)17 (3.1)27 (2.3)88 (3.0)
Rash on breast and skin peeling30 (2.6)8 (1.4)20 (1.7)58 (2.0)
Change in nipples21 (1.8)10 (1.8)17 (1.4)48 (1.6)
Swelling in any other parts of the body11 (0.9)8 (1.4)7 (0.6)26 (0.9)
General symptoms128 (2.4)33 (6.0)26 (2.2)87 (3.0)
Don’t know130 (11.1)93 (16.8)168 (14.1)391 (13.4)
Table 3 Demographics of participants in Breast Cancer Awareness Measure survey in Western Kenya
Participant attributeKapsokwony (n = 481)Mosoriot (n = 277)Turbo (n = 577)Total (n = 1335)
n (%)n (%)n (%)n (%)
Age (yr) ≤ 30187 (38.9)114 (41.2)223 (38.9)524 (39.3)
31-60265 (55.1)142 (51.3)320 (55.5)727 (54.5)
61-9028 (5.8)17 (6.1)31 (5.4)76 (5.7)
91+02 (0.7)1 (0.2)3 (0.2)
Missing data1 (0.2)2 (0.7)2 (0.4)5 (0.4)
SexFemale414 (86.1)198 (71.5)449 (77.8)1061 (79.5)
Male67 (13.9)79 (28.5)126 (21.8)272 (20.4)
Missing data002 (0.4)2 (0.2)
Marital statusMarried383 (79.6)202 (72.9)423 (73.3)1008 (75.5)
Single60 (12.5)59 (21.3)121 (20.9)240 (18.0)
Divorced3 (0.6)03 (0.5)6 (0.5)
Separated10 (2.1)8 (2.9)14 (2.4)32 (2.4)
Widowed25 (5.2)8 (2.9)14 (2.4)47 (3.5)
Missing data002 (0.4)2 (0.2)
EducationNone31 (6.4)14 (5.1)37 (6.4)82 (6.1)
Primary193 (40.1)130 (46.9)253 (43.9)576 (43.2)
Secondary160 (33.3)94 (33.9)202 (35.0)456 (34.2)
Certificate/diploma87 (18.1)35 (12.6)67 (11.6)189 (14.2)
University10 (2.1)4 (1.4)16 (2.8)30 (2.3)
Missing data002 (0.4)2 (0.2)
OccupationBusiness84 (17.5)33 (11.9)136 (23.6)253 (19.0)
Casual laborer9 (1.9)15 (5.4)19 (3.3)43 (3.2)
Employed100 (20.8)58 (20.9)93 (16.1)251 (18.8)
Farming157 (32.6)63 (22.7)121 (21.0)341 (25.5)
Self employed22 (4.6)17 (6.1)30 (5.2)69 (5.2)
Unemployed105 (21.8)91 (32.9)176 (30.5)372 (27.9)
Missing data4 (0.8)02 (0.4)6 (0.5)
TransportationBoda boda138 (28.7)53 (19.1)79 (13.7)270 (20.2)
Car2 (0.4)9 (3.3)8 (1.4)19 (1.4)
Matatu25 (5.2)88 (3.2)227 (39.3)340 (25.5)
Walking314 (65.3)122 (44.0)259 (44.9)695 (52.1)
Other1 (0.2)4 (1.4)05 (0.4)
Missing data1 (0.2)1 (0.4)4 (0.7)6 (0.5)